Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes
Clinics in Orthopedic Surgery
; : 133-139, 2011.
Article
en En
| WPRIM
| ID: wpr-202796
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: This study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults. METHODS: Fifteen patients (13 men, 2 women; mean age, 34.8 years; range, 18 to 65 years) were enrolled in this study. The fractures types were classified according to the classification by Fraser et al. as follows: type I (5), type IIa (3), IIb (4), IIc (3). Femur fractures were treated using locked intramedullary nails, plate-screws, or dynamic condylar screws, and tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The mean follow-up duration was 2.2 years (range, 1.3 to 4 years). RESULTS: The extent of bony union according to the Karlstrom criteria was as follows: excellent, 8; good, 4; acceptable, 2; poor, 1. CONCLUSIONS: The associated injuries and type of fracture (open, intra-articular, comminution) are prognostic factors in a floating knee. The best management of the associated injuries for good final outcome involves intramedullary nailing of both the fractures and postoperative rehabilitation.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Dispositivos de Fijación Ortopédica
/
Pronóstico
/
Fracturas de la Tibia
/
Traumatismo Múltiple
/
Estudios de Seguimiento
/
Resultado del Tratamiento
/
Fracturas del Fémur
/
Fijación Intramedular de Fracturas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Clinics in Orthopedic Surgery
Año:
2011
Tipo del documento:
Article